Individual
REMINGTON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 W 10TH ST, MEDFORD, OR 97501-3106
(541) 774-4810
Mailing address
609 W 10TH ST, MEDFORD, OR 97501-3106
(541) 774-4810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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